Application Form

Organized by Hong Kong Young Leaders Development Association ("the Organiser") Sponsored by Home Affairs Bureau

Important Notice to Participants

By submission of this Form, participants acknowledge and agree to the terms contained herein.

Participants must be aged between 18 and 29 year-old and hold a Hong Kong ID card for Hong Kong Permanent Residents.

Participants must hold a travel document (and a visa, depending on the type of the travel document) valid for travelling to Germany and Belgium.

Please ensure that the information you provide is accurate before submission.

Please do NOT submit this form more than once.

PART I PERSONAL PARTICULARS

Family Name (In English)
*

Should be the same as that shown on your identification documents (e.g. CHAN)

First Name (In English)
*

Should be the same as that shown on your identification documents (e.g. TAI)

Other Names (In English, if any)

Family Name (In Chinese)
*

Should be the same as that shown on your identification documents

First Name (In Chinese)
*

Should be the same as that shown on your identification documents

Other Name (In Chinese, if any)

Gender
*

Male Female

Age
*

As of 4th July 2018

Date of Birth (DD/MM/YY)
*

-
Date
-
Month Year

Place of Birth
*

Hong Kong ID Card Number
*

Passport Type
*

HKSAR Passport British National Overseas (B.N.O.) British Passport

Contact No. (Hong Kong) (+852)
*

Other Contact No. (if any)

Phone No. for WhatsApp (if different from Contact No.)

Email Address
*

Confirmation Email

Name of University
*

Faculty
*

Year
*

Student No.
*

Language Skills (Spoken)
*

Fluent

Good command

Fair

English

Cantonese

Mandarin

Language Skills (Written)
*

Fluent

Good command

Fair

English

Chinese

Name of High School/Secondary School
*

Dietary Requirement
*

No specific requirement Vegetarian

Curriculum Vitae (CV)
*

Browse Files

Please upload your Curriculum Vitae (Max. file size: 10MB)
Cancel
of

Passport Photo
*

Browse Files

Please upload a passport photo (Must have been taken within 2 year of the application date)
Cancel
of

PART II DECLARATION OF APPLICANT

(Please read carefully)

The Organiser collects personal data (name, telephone number, photos, fax number, email, correspondence addresses and other personal particulars) from you, and may use it for the purposes of providing you with information of the Organiser, fundraising appeal, services / activities invitation as well as for feedback collection and related promotion purposes, and will only use your personal data for the above mentioned purposes. Please put a tick
on
the box below and sign below to acknowledge that you have read through the declaration.

I understand and hereby acknowledge that the contents and/or itineraries of the Programme are subject to change and that the Organiser has the final right of determination and decision in relation to the contents and/or itineraries of the Programme.

*

Yes, I agree

PART III Survey

From where did you learn about our Programme?
*

Hong Kong Young Leaders Development Association Official Website Facebook University Faculty / School Office Student societies and groups Friends Home Affairs Bureau

Would you be interested in becoming one of the group leaders of the Programme? (Group leaders are responsible for facilitating communication between the Organizer and other participants, assisting in the organisation of group events and student sharing sessions)
*